20 credits at level HE6
This module is a part time stand alone module for registered nurses who do not hold a Specialist Practitioner Qualification. The module prepares nurses to prescribe safely, appropriately and cost effectively within the parameters of the Nurse Prescribers Formulary for Community Practitioners only.
The course duration is 20 weeks and consists of 10 days theoretical learning and 10 days practice based learning overseen by a Practice Teacher/Mentor. The course is validated and approved by the NMC.
The module enables qualified nurses to enhance their consultation and clinical decision making skills in order to prescribe an appropriate product to meet patient needs. It will help them to understand and apply knowledge of drug actions in prescribing practice and to consider the effects of co-morbidity. The module also ensures nurses prescribe legally, ethically and to recognise their professional accountability and responsibility in prescribing situations.
Students will be able to identify their own personal development needs (PDP) in relation to the module to enable them to improve their knowledge of the following areas:
Consultation and clinical decision making
Principles of assessment, including differential diagnosis, medication history and current medication to inform diagnosis
Monitor response to treatment, role limitation and referral when necessary to another healthcare provider
Legal basis for prescribing, supply and administration of medicines including consent, liability, indemnity, licensing and off-label
Evidence based practice and guidelines
Psychology, sociology, and influences on prescribing
Developing a therapeutic relationship with patients to encourage medicines concordance/adherence
Application of basic pharmacology and knowledge of drug actions, including adverse drug reactions and co-morbidity
Professional accountability and responsibility to maintain competence to prescribe
Roles and responsibilities of the wider health care team in prescribing, supplying and administration of medicines
Prescribing safely, appropriately and cost effectively
Learning and teaching will include a variety of methods including lectures, group discussions, case studies, self directed study and Moodle based materials.
Assessment strategies include an examination, the submission of a reflective assignment, successful completion of a learning in practice log, portfolio of evidence , and Clinical Assessment Tool.
It is imperative that students are safe and effective prescribers. Any major failure to identify a serious problem or an answer that would cause a patient harm would result in overall failure of the course.
The 200 hours notional time given to this module will be allocated as follows:
75 hours classroom work: - this will include taught sessions, group discussion, case studies, directed study and tutorials.
75 hours in practice with mentor.
50 hours will be used and shared flexibly between work based learning opportunities, self directed study, examination and assessment preparation.
when you have successfully completed this module you will:
to demonstrate that you have achieved the learning outcome you will:
|1.||Demonstrate a clear understanding of the significance of legislation, professional accountability and responsibility in relation to prescribing practice||
a) Practice prescribing as a prescriber within current legislative framework and relevant NMC standards.
b) Write accurate prescriptions that conform to the legal requirements.
c) Critically analyse own professional accountability as a prescriber to professional bodies, the patient, and their employer,
d) Create comprehensive, accurate shared records to ensure safe practice in prescribing and rationalise the concept of multi-disciplinary access to records.
e) Demonstrate how informed consent was obtained
f) Demonstrates knowledge of licensing, liability, off label and indemnity in relation to prescribing practice
g) Acknowledge responsibility for safe keeping of prescription pads and actions to be taken if lost
h) Understands the legal and professional framework for remote prescribing
|2.||Integrate skills and knowledge to undertake a systematic assessment and consultation with patients, clients and carers.||
a) Demonstrate the ability to use effective communication and consultation skills to inform accurate assessment.
b) Undertake a thorough history including medication history, current medication, OTC, alternative and complementary health therapies, recreational/illicit medicines or products, allergy status and previous drug reactions, to inform diagnosis
c) Provide a rationale for conducting a relevant physical examination to inform assessment of patients/clients
d) Articulate accountability and responsibility for assessment, diagnosis and prescribing and justifies a working clinical diagnosis
e) Demonstrate the effectiveness of how patient consent, values, choices, and ethnicity are addressed to achieve concordance/adherence to treatment.
|3.||Demonstrate safe, appropriate, and cost effective prescribing.||
a) Development of an appropriate treatment plan with a clear rationale for a prescription or when you decide not to prescribe underpinned by up to date evidence
b) Reflect and evaluate own performance in relation to required standards and competencies for safe, appropriate cost effective prescribing practice
c) Demonstrate achievement of competencies for prescribing, verified in practice by Mentor and evidenced in Portfolio.
d) Demonstrate personal and organisational responsibility to maintain professional knowledge and competence to prescribe by identifying and developing an action plan for CPD evidenced in portfolio.
e) Articulates risk assessment in relation to safe storage, handling and disposal of products
f) Advise patients/clients of the effects and risks associated with treatments
|4.||Evaluate key pharmacological factors and principles affecting therapeutic interventions and demonstrate competence to monitor response to therapy and modify treatments.||
a) Identify those medicines/appliances/products from the NPFCP and conditions relevant to your area of practice and formulate a personal drug formulary (P-list)
b) Demonstrate pharmacological knowledge and safe prescribing of medicines from your personal drug formulary (P-list)
c) Identify and report adverse reactions through the appropriate channel
d) Demonstrate consideration of the effects of co-morbidity to underpin safe prescribing
e) Considers relevant lifestyle health promotion advice and non drug treatment
f) Monitor and modify prescribed products in light of response to treatment
g) Have an awareness of own limitations and know when it is appropriate to refer to another healthcare professional.
h) Demonstrate knowledge of anatomy and physiology as applied to prescribing practice and the CNPF
|5.||Evaluate key pharmacological factors and principles affecting therapeutic interventions in relation to prescribing for children.||
a) Demonstrate the ability to undertake an accurate history and assessment of a child, having considered the legal, cognitive, emotional and physical differences between children and adults.
b) If working with children in practice, be able to undertake relevant physical examinations competently using clinical equipment and recording devices appropriate for children and verified as competent by an appropriate clinical assessor in practice.
|6.||Demonstrate accurate numeracy skills when undertaking drug calculations||
a)Write prescriptions that demonstrate accurate drug calculations.
|7.||Articulate the roles and relationships of others involved in prescribing, supplying and administering medicines||
a) Evaluate the role of the prescriber in the team context with particular reference to other roles and functions of team members
b) Participate in prescribing decision making as a multi-professional team member.
c) Utilise effective communication skills and articulate how potential conflict between multiple prescribers can be managed.
|8.||Critically analyse the influences upon prescribing practice and utilise a variety of information to support decision making within prescribing practice.||
a) Articulate the influences upon the prescriber, both from the patient and other external influences including current public health concerns.
b) Critically analyse and justify decisions based upon a variety of relevant information to support prescribing practice
c) Make use of evidence based practice and Clinical Governance to support prescribing decisions.
d) Considers relevant ethical issues
Your achievement of the learning outcomes for this module will be tested as follows:
|Description||Pharmacology examination (80% pass mark).||2000 word reflective assignment. (40% pass mark).||Practice log demonstrating 10 days (75 hours) prescribing experience and verification as competent to prescribe by appropriate assessor. (Pass / Fail)||Portfolio of evidence demonstrating achievement of learning outcomes and completion of Clinical Assessment Tool verified by appropriate assessor. (Pass / Fail)|
There are no prerequisites for this module.
No restrictions apply.
Bickley, L. S, (2008) Bates’ Guide to Physical Examination and History Taking (9th Edition). Lippincott, Williams and Wilkins : Philadelphia.
Courtenay, M., Griffiths, M. (2004) Independent and Supplementary Prescribing: An essential guide. The Cambridge University Press: Cambridge.
Department of Health (1989) Crown 1 Report of the Advisory Group on Nurse Prescribing. DoH: London.
The Medicines Act 1968: http://www.legislation.gov.uk/ukpga/1968/67
Prescription by Nurses Act (1992):
Health and Social Care Act 2001: http://www.legislation.gov.uk/ukpga/2001/15/contents
Department of Health (1999) Crown 2 Review of Prescribing, Supplyand Administration of Medicines. DoH: London.
Department of Health. (1997). The new NHS: modern, dependable. Stationary Office: London. (Available from DH website http://www.dh.gov.uk/ )
Health and Social Care Act (2001) OPSI.
Dowie, J., Elstein, A. (1994) Professional Judgement A Reader In Clinical Decision Making. Cambridge University Press: Cambridge.
Fraser, R. (1999) The consultation. In Fraser, R. (ed.) Clinical Method A General Practice Approach (3rd edition). p.34. Butterworth Heinemann: Oxford.
Gask, L., Usherwood, T. (2002). ABC of psychological medicine: The consultation. BMJ. 324: pp 1567-1569.
Lapham, R. (2003) Drug Calculations for Nurses: a step by step approach. (2nd Edition). Arnold: London.
Lymn, J; Bowskill, D; Bath-Hextall, F; Knaggs, R. (2010) An integrated approach to medical and non-medical prescribing. Wiley-Blackwell: West Sussex
Medicinal Products: Prescription by Nurses etc. Act (c.28). (1992) OPSI.
McCabe C. Timmins F. (2006) Communication Skills for Nursing Practice.
Palgrave Macmillan, Hampshire.
National Institute of Clinical Excellence (2009) Medicines Adherence. NICE: London.
National Prescribing Centre. (2003) Maintaining Competency in Prescribing: An outline framework to help nurse prescribers. Update 2003. (Available from the NPC website http://www.npc.co.uk/ )
National Prescribing Centre (2007) A Competency Framework for Shared Decision Making with Patients: Achieving concordance for taking Medicines – First Edition – January 2007 – (Available from the NPC Website http://www.npc.co.uk/pdf/Concordant_Competency_Framework_2007.pdf )
Nursing and Midwifery Council (2006) Standards of Proficiency for nurse and midwife prescribers. NMC :London.
Nursing and Midwifery Council (NMC) (2008) The Code. NMC. London.
Nursing and Midwifery Council (2008) Standards for Medicines Management. NMC. London.
Nursing and Midwifery Council (2009) Standards for Record Keeping. NMC. London.
Ong, L. M. L., De Haes, J. C., Lammes, F. B. (1995) Doctor-patient communication: A review of the literature. Soc Sci Med.; 40: pp 903-918.
Rungapadiachy, D. (1999) Interpersonal communication and psychology for health care professionals: theory and practice. Butterworth-Heinemann; London.
Thompson, C., Dowding, D. (2002) Clinical Decision Making and Judgement in Nursing. Edinburgh: Churchill Livingstone.
Usherwood T. (1999) Understanding the Consultation, evidence, theory and practice. Buckingham, Open University Press.
Walker, R., Edwards, C. (Eds) (2002) Clinical Pharmacy and Therapeutics (3rd edition). Churchill Livingstone : Edinburgh.
Wong, I.C. K. (1999) Pharmacovigilance resources in the United Kingdom. Pharmaceutical Journal. 263: pp 285-288.
Woolf, S., Grol, R., Hutchinson, A., Eccles, M., Grimshaw, J. (1999) Clinical Guidelines: Potential benefits, limitations, and harms of clinical guidelines. British Medical Journal. 318: pp 527-30.
|Host Subject Group:||Health Studies|
|User Name||Date Accessed||Action|